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Individual

JENNA GERAGHTY-SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4922 POPLAR LEVEL RD, LOUISVILLE, KY 40219-1128
(502) 515-0240
Mailing address
6206 JEFFREY DR, LOUISVILLE, KY 40258-3070
(502) 999-1112

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104100000X
Social Worker
7515
KY

Other

Enumeration date
01/27/2025
Last updated
01/27/2025
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